在跨口机器人甲状腺切除术期间识别和保护复发性喉神经
Fu Luo1, Gang Zhang1, Lingji Guo1
1Department of Breast and Thyroid Surgery, Daping Hospital, Army Medical University.
Journal of visualized experiments : JoVE
|November 10, 2025
概括
使用口腔前庭治疗方法的机器人甲状腺切除术成功地保护了复发性喉神经 (RLN). 这种微创手术可以减少声带和呼吸系统问题,改善甲状腺癌手术后患者的生活质量.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 甲状腺癌是一种普遍存在的内分泌恶性瘤,需要手术干预.
- 甲状腺手术与术后并发症的增加率有关,特别是喉神经 (RLN) 复发性损伤.
- RLN损伤导致声带和呼吸困难,严重影响患者的生活质量.
研究的目的:
- 通过口腔前置性方法评估机器人甲状腺切除术的疗效和安全性,以识别和保护RLN.
- 评估使用这种最小侵入性技术在没有手术内神经监测的情况下进行甲状腺叶切除和中枢淋巴结解剖的可行性.
- 确定这种手术方法对术后并发症发生率的影响.
主要方法:
- 实施一个机器人手术系统用于甲状腺切除术,利用口腔前庭治疗方法.
- 在RLN的勘探和保护中采用结合了粗和尖的剖析技术.
- 同时进行甲状腺叶切除术和ipsilateral中央淋巴结剖析.
- 在手术后1周,1个月和6个月进行后续评估.
主要成果:
- 在所有情况下都成功识别和保护了复发性喉神经.
- 机器人口腔前体方法促进了RLN的快速探索和保存.
- 甲状腺叶切除术和双侧中央淋巴结解剖已经有效完成.
- 手术后的随访表明,与RLN损伤相关的并发症发生率有所减少.
结论:
- 通过口腔前庭切除术的机器人甲状腺切除术提供了一种安全有效的方法来治疗复发性喉神经管理.
- 这种微创手术技术有可能减少声带和相关的术后并发症的发生率.
- 描述的手术策略可以有效地治疗甲状腺癌,同时优先保护神经.
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